Medicaid State Plan Amendments

This state plan amendment (SPA) updates Attachments 3.1-A and 3.1-B of the Medicaid State Plan to comply with CMS' final rule amending 42 CFR 440.90.

This SPA allows Kentucky to enter into Value-Based Supplemental Rebate Agreements with drug manufacturers on a voluntary basis.

This plan amendment implements a legislative mandate to establish an additional Disproportionate Share Hospital (DSH) pool in the amount of $12.9 million, designated specifically for payments to government-owned and operated providers.

This plan amendment authorizes the Arizona disproportionate share hospital (DSH) pool 1, 2, 1A, 2A, and 4 payments, for the DSH state plan rate year ending 2025.

This amendment proposes an increase to bonus-enhanced payments to providers that actively participate with the ACHN (Alabama Coordinated Health Network).

This plan amendment increases nurse midwives’ allowable fees to 100% of the allowable listed fees in the physician pricing regulations.

This SPA adds non-licensed Certified Professional Midwives to provide maternity services under the category of preventive
services.

This amendment adds multidimensional family therapy services under the rehabilitative services benefit.

This amendment reduces the SoonerSelect choice period from 60 days to 30 days, and to clarify that members covered under the SoonerPlan program for family planning visits are excluded from the ABP and SoonerSelect.

This amendment proposes to provide targeted case management service coverage for Medicaid recipients with substance use disorder and to align with CMS Medically Unlikely Edit coding, effective January 1, 2025.